Siu Physicians & Surgeons, Inc is a
Physician Assistant - Medical based in Springfield, Illinois. Siu Physicians & Surgeons, Inc is licensed to practice in Illinois (license number ) and their current practice location is
701 N 1st St, D235, Springfield, Illinois. It can be reached at their office (for appointments etc.) via phone at
(217) 545-7578.
NPI number for Siu Physicians & Surgeons, Inc is 1427071646 and their current mailing address is Po Box 19639, Springfield, Illinois. Siu Physicians & Surgeons, Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1427071646.
Healthcare Provider's Profile
| Full Name | Siu Physicians & Surgeons, Inc |
|---|
| Type | Facility |
|---|
| Speciality | Physician Assistant - Medical |
|---|
| Location | 701 N 1st St, Springfield, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1427071646
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Siu Physicians & Surgeons, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427071646 | NPI | - | NPPES |
| CB2589 | Other | IL | RR MEDICARE |
| CE8931 | Other | IL | RR MEDICARE |
| CE8687 | Other | IL | RR MEDICARE |
| CE8686 | Other | IL | RR MEDICARE |
| CE8689 | Other | IL | RR MEDICARE |
| CE8688 | Other | IL | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (Illinois) | Secondary |
| 225XH1200X | Occupational Therapist - Hand | (Illinois) | Secondary |
| 231H00000X | Audiologist | (Illinois) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (Illinois) | Primary |
| 363AS0400X | Physician Assistant - Surgical | (Illinois) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | (Illinois) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (Illinois) | Secondary |
| 363LN0000X | Nurse Practitioner - Neonatal | (Illinois) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | (Illinois) | Secondary |
| 364SG0600X | Clinical Nurse Specialist - Gerontology | (Illinois) | Secondary |
| 364SX0200X | Clinical Nurse Specialist - Oncology | (Illinois) | Secondary |
| 367A00000X | Advanced Practice Midwife | (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Siu Physicians & Surgeons, Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Siu Physicians & Surgeons, Inc
Po Box 19639,
Springfield, IL 62794-9639
Ph: (217) 545-7578 | Siu Physicians & Surgeons, Inc
701 N 1st St, D235,
Springfield, IL 62781-0001
Ph: (217) 545-7578 |
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